| NPI | 1497100838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE ELIZABETH WIDNER Business Owner 501-454-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AR E9529) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-10-17 |